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September 30, 2018

Critical Information Everything you need to know

Could your Patients Benefit from a Medicare Advantage Plan Powered by Hartford HealthCare?

Hartford HealthCare and Tufts Health Plan have launched CarePartners of Connecticut, a new health insurance company that brings together the healthcare expertise of HHC with the insurance plan experience of Tufts Health Plan.

CarePartners of Connecticut will offer Medicare Advantage plans to eligible beneficiaries, starting with the Open Enrollment period that begins Oct. 15.

Recently, Dr. Jim Cardon explained the joint venture and the benefits for patients in an article in Network News. Read the Q&A here.

Drs. Yu, Lawrence to Lead Tweeting for CME’s on Breast Cancer Discussion on Oct. 1

We’ve created a new way for you to earn Continuing Medical Education (CME) hours to keep abreast of the latest innovations in healthcare: Tweeting for CME’s.

This unique partnership between the Hartford HealthCare Office of Continuing Education and the Planning & Marketing Department allows you to take part in a Twitter chat led by Hartford HealthCare experts and apply for CMEs as a result.

"Each one­hour chat discusses a de­identified patient case and/or peer­reviewed journal article," said Hillary Landry, professional education manager with Hartford HealthCare's Office of Experience, Engagement & Organizational Development. "Participants wishing to earn CMEs would review the case or article in advance, then attend and participate in the chat by providing their insights using a specific Twitter hashtag: #CMEHHC."

The next chat takes place tomorrow, Oct. 1, at 12 noon (ET). All are welcome to join the discussion, led this month by Dr. Peter Yu, physician­in­chief of the Hartford HealthCare Cancer Institute; Dr. Camelia Lawrence director of breast surgery at The Hospital of Central Connecticut and MidState Medical Center; and Beverly Tenenholz, genetic counselor. The article for discussion is entitled "Adjuvant Chemotherapy Guided by a 21­Gene Expression Assay in Breast Cancer," from the July 19, 2018 edition of the New England Journal of Medicine. It may be found free­ of­charge here.

CMEs will be available at the conclusion of the chat via a chat­specific link provided on Twitter, based on participant application and review of the chat record to confirm participation.

"We're excited to be on the cutting edge, providing clinicians with CME opportunities that are valuable and convenient," Landry said.

Additional details about “Tweeting for CME’s” may be found here.

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Noteworthy and New Announcements, news and information

How Hartford Hospital's Investment Team Beat Nearly All its Peers — Again

Hartford HealthCare’s investment team, led by chief investment officer David Holmgren, had another superlative year.

"The $3.2 billion foundation, which supports a major Connecticut hospital network, returned 12 percent net­of­fees in the fiscal year ending June 30, 2018," Holmgren told the publication Institutional Investor for a recent article.

"This result puts Hartford in the top 2 percentile of endowments and foundations for the year," the article said, "with the fund outpacing peers’ median return by 420 basis points, according to private benchmarking data from a major consulting firm. Over five years, Hartford’s 8.9 percent annualized returns rank in the top decile."

Read the full story, "How a $3 Billion Hospital Foundation Beat Nearly All its Peers — Again," by clicking here.

Cystic Fibrosis Center Chosen for Quality Care Award

Hartford Hospital's Cystic Fibrosis Center will be the 2018 recipient of the annual Cystic Fibrosis Foundation’s Quality Care Award: Recognizing Outstanding QI Processes and Accomplishments. The honor will be awarded at the US Center and Program Directors’ meeting at NACFC in Denver on October 20.

"Congratulations to Dr. McArdle, Dr. Pope and their dedicated team of top­class cystic fibrosis clinicians and caregivers," said Dr. Peru Venkatesh, chief academic officer and interim chief of medicine for Hartford Hospital. "This is tremendous work and we are all proud."

The Center has been nationally recognized for their quality improvement projects. Providers from the team are active at the national level, providing consultation, teaching and coaching to other CF centers around the country.

Generous Donation Supports Cancer Care Innovation Unit

Long­time Hartford Hospital supporter Neil H. Ellis has made a generous gift in support of the Hartford HealthCare Cancer Institute’s clinical trials work and the Cancer Care Innovation Unit, which will open to patients in October.

The donation was made in memory of Ellis’s son, who died at age 14 from leukemia. Dr. Peter Yu, physician­in­chief of the Cancer Institute, and Kristi Gifford, vice president of the Cancer Institute, were instrumental in securing the gift.

Connecticut GI Named a Top Workplace

Connecticut GI has been named as one of the top workplaces in Connecticut for 2018, according to the Hartford Courant. This is the fifth year that Connecticut GI has made the list.

For the full list of winners, click here.

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Recognizing Excellence Awards, accolades and achievements

In Brief

Dr. John Welch , emeritus general surgeon at Hartford Hospital, was awarded the Nathan Smith Award at the New England Surgical Society. It is the society's highest award and granted to surgeons who have made major contributions to New England Surgery. Previous recipients include Dr. David Crombie, former Chief of Surgery at HH, and Dr. Claude Welch, John's father and a distinguished Harvard surgeon at MGH.

Drs. Zachary Haas, Rabi Panigrahi, and Dhamodaran Palaniappan are co­ authors of an article published in Connecticut Medicine in August 2018 entitled “Airway Management of Expanding Neck Hematoma After Anterior Cervical Spine Surgery”. Clinical management of this potentially lethal complication requires a multidisciplinary approach for a successful outcome.

Drs. Syed Rizvi , Karyn Butler, and Dhamodaran Palaniappan are co­authors of an article published in Connecticut Medicine in May 2018 entitled “NT­Pro­BNP as an Adjunct Diagnostic Serological Marker for Transfusion­Associated Circulatory Overload (TACO) in the Postoperative Critically Ill Patient with Chronic Kidney Disease”.

Drs. Joseph McIsaac and Patricia McFadden are co­authors of an article on trauma and mass casualty care entitled “SALT Triage for Mass Casualties” . The article is published in the ASA Monitor, which is the official newsletter of the American Society of Anesthesiologists.

Drs. Thomas Mort and Syed Rizvi are co­authors of an article published in Anesthesiology News Airway Management entitled "Cardiac Arrest During Emergency Intubation Outside the Operating Room”. This article analyzes the incidence and risk factors contributing to intubation­related cardiac arrest in remote non­operating room locations. In a second article for Anesthesiology News, Dr. Thomas Mort discusses the feasibility of topical local anesthesia preparation for video­assisted laryngoscopy during “Emergency Intubations Outside the Operating Room”.

Dr. Paul D. Thompson, Chief of Cardiology at Hartford Hospital and Physician Co­ Director of the HHC Heart & Vascular Institute, was the keynote lecturer at the Clinical Exercise Physiology Association in Framingham, Mass. Dr. Thompson topic was “Does Pre­participation Screening of Athletes Save Lives?" Dr. Thompson was also a visiting professor and lectured to the Division of Cardiology at NYU’s Langone Medical Center in September. Dr. Thompson consulted with fellows and faculty and lectured on “Can too Much Exercise Hurt the Heart."

Welcome New Providers to Hartford Hospital

Please visit https://hartfordhospital.org/find­a­doctor for more information on these and other providers.

Physicians

Jason Altman, DO Anesthesiology Caroline Amin, MD Pediatrics Emily Biddick, MD Pediatrics Khalilah Dann, MD Family Practice Vladimir Daoud, MD General Surgery Torsten Ehrig, MD Dermatopathology Andrew Ferrara, DO Emergency Medicine Laura Hall, MD Ophthalmology Lia Jamian, MD Rheumatology Joan Ma, MD Emergency Medicine Beenish Noor, MD Hospital Medicine Nihal Patel, MD Gastroenterology Jeffrey Pravda, MD Orthopedics Victor Rossi, MD Cardiology Izabella Shuvayev, MD Psychiatry Shannon Sutherland, MD Obstetrics & Gynecology Joseph Vitterito, MD Neonatology

Allied Health

Christopher Balsamo, APRN Surgical Critical Care Elizabeth Doty, APRN Allergy Katie Dziedzic, APRN Palliative Medicine Jaclyn Gladstein, PA Trauma Surgery Kendal Hodges, APRN Neurology Drew Jett, PA­C Orthopedics Jessica Kelly­Hauser, APRN Surgical Critical Care Allyssa Kenney, PA­C Pulmonary Medicine Ashley Kuligowski, PA­C Orthopedics Ellen Massey, APRN Cardiology Jeannine Maytan, CNM Obstetrics & Gynecology Mariam Nasiri, APRN Internal Medicine Connor Rowntree, PA­C Trauma Surgery Kaitlin Shaughnessy, PA­C Orthopedics Alexandra Sirrine, PA­C Emergency Medicine

Back to Top Coming Up Education and events

October 2 Ask the Experts: All You Need to Know About Liver Transplant Gilman Auditorium 6 to 8:30 p.m.

This free educational program is intended for anyone interested in learning about liver transplantation. Light bites and refreshments will be provided.

Featuring:

"Reasons for Liver Transplantation" from Dr. Michael Einstein, Hartford Hospital "Transplant Evaluation and Surgery" from Dr. Caroline Rochon, Hartford Hospital Transplant Program "Transplant Aftercare" from Dr. Patricia Sheiner, Hartford Hospital Transplant Program

There is no fee to attend, but registration is required. Visit https://liverfoundation.org/event/ctate3/ or call 203.234.2022.

October 3 34th Annual Cardiovascular Symposium Connecticut Convention Center, 100 Columbus Blvd., Hartford 7 a.m. to 3 p.m.

This one­day CME­accredited symposium allows cardiac health care professionals to learn recent advances in the management of cardiovascular disease patients from leading experts in the field. Attendees will leave able to:

Describe anticoagulation indications & options for atrial fibrillation patients, including peri­procedural management Understand the effect of gravity and the upright posture on human cardiovascular physiology Reassess the relevance of rupture of a “vulnerable” plaque in the current era and explore the influences in secular trends in preventive interventions on human atherosclerosis Understand ischemic stroke classification and cryptogenic stroke Recite the differential diagnosis of an elevated highly sensitive troponin and recognize the difference between ‘conventional’ and highly sensitive troponin methods Assess the severity of ischemic mitral regurgitation and become familiar with various treatment modalities Identify which patients qualify for PCSK9 therapy and discuss how to manage patients with low HDL­C levels

Hartford HealthCare designates this live activity for a maximum of 5.25 AMA PRA Category 1 credit(s).™

Please visit www.hartfordcvsymposium.org for more information and to register.

October 11 and 12 1st Annual Shock Symposium – Meds vs. Machines Conference Sheraton Hartford South Hotel, 100 Capital Boulevard, Rocky Hill Thursday from 6 to 8:15 p.m.; Friday from 7 a.m. to 5 p.m.

Jointly provided by the Heart & Vascular Institute of Hartford HealthCare, the Office of Continuing Education and the Hartford Hospital Division of Cardiology, the goal of this activity is to provide participants with the most current data on drug and device treatments for patients with acute cardiopulmonary shock.

'This live event is intended for physicians, advanced practitioners, nurses, perfusionists, respiratory therapists, hospitalists, residents and other medical professionals involved in the treatment of patients with acute shock.

To register online, visit www.hartfordhospital.org/events. To register by phone, call 855.442.4373.

The course fee is $175 for physicians; 125 for APRNs, PAs and perfusionists; $100 for RNs, RTs, non­UConn residents and other healthcare professionals. For Hartford HealthCare/UConn fellows, residents, interns and medical students, there are 25 complimentary “endorsed” spots. After the 25 complimentary “endorsed” spots are filled, the fee is $25.

Questions may be directed to Carolyn Martindale at 860­305­2556 or [email protected].

October 12 Department of Surgery Grand Rounds: "Creating an Impact Through Surgical Disparities Research: From Outcomes Studies to National Policy Changes" Jefferson Building 118 6:45 to 7:45 a.m.

By participating in this live activity, participants should be able to:

1. Review a series of work that describes the state of health care disparities in surgical outcomes 2. Discuss our current understanding of the mechanisms that lead to trauma and surgical disparities 3. Outline the recently crafted national agenda for surgical disparities research and the federal research opportunities created for this purpose

Hartford HealthCare designates this live activity for a maximum of 1 AMA PRA Category 1 credit(s)™. This session fulfills the State of Connecticut physician relicensure requirement for education in Cultural Competency.

The lecture will also be streamed live through the VMR app at [email protected].

October 13 Strengthen Your Practice: Caring for Patients in the Midst of the Opioid Crisis Hartford Marriott Farmington 7:50 a.m. to 1 p.m.

Sponsored by the Hartford HealthCare Opioid Management Council, this symposium will feature a number of topics: Defining the Pain Syndrome, CDC/PMP Guidelines & Interventional Options, Tapering Opioids, Substance Use Disorder Identification & Treatment, Urine Drug Screen Interpretation & A Personalized Approach to Pain, Managing Provider­Patient Interactions, Successful Analgesic Hand Offs, Maximizing the Benefits of EPIC, and Navigating Insurance Preferred Drug Lists.

Hartford HealthCare designates this live activity for a maximum of 4.5 AMA PRA Category 1 Credit(s).

Register here. Brunch will be provided.

October 27 First Annual Hartford HealthCare Ayer Neuroscience Institute Symposium Connecticut Convention Center 7:30 a.m. to 4 p.m.

Join the Hartford HealthCare Ayer Neuroscience Institute for “Innovations and Advances in Neuroscience Conditions," focused topics for primary care providers. Sample lectures include treating headache, approaches to back pain, peripheral neuropathy, seizure vs syncope, and snoring and sleep apnea.

Additional details can found at hartfordhealthcare.org/NeuroSymposium.

November 6 Pharmacotherapeutics Symposium for Advanced Practitioners Heublein Hall 7:30 a.m. to 1 p.m.

This symposium will cover:

Pharmaceutical Immunosuppression & Common Prophylaxis Strategies Anticoagulants in Patients with Kidney Dysfunction Reversal of Anticoagulation Management of Hyperkalemia: Acute Care Review & Emerging Therapies Navigating the World of Sepsis Procalcitonin Utility Pharmacy Considerations in Treating Arrhythmias

This symposium fulfills the bi­annual DPH requirements in pharmacotherapeutics for APRN relicensure. Hartford Healthcare designates this live activity for a maximum of 5.00 AMA PRA Category 1 credit(s).

PRE­REGISTRATION IS REQUIRED:

1. Log in to your CME account here. (If you don’t have an account, use the same link. Enter your email address and click “Create Account” to continue.) 2. Choose “View Upcoming Events” and scroll down to the event 3. Register and pay fee: HHC Privileged Provider – no charge, non­HHC Privileged Provider $20 4. Contact [email protected] with any questions

Planning a CME Activity? The CME department encourages program planners to begin the application process as far in advance of the CME activity as possible. Visit the HHC CME website to learn more about CME Offerings Click here to request an application today Contact [email protected] to schedule a planning session

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For Your Information Other things you ought to know

New Inpatient Rehab Unit: Admission Criteria and How to Make a Referral

Hartford Hospital will open the doors to its brand new 26­bed inpatient rehabilitation unit on Sept. 6. The intensive rehab offered on the unit will help patients who have suffered a severe illness or injury gain a greater level of independence and return to home with a better quality of life.

Patients must meet the following admission criteria:

Require active and ongoing intervention of multiple therapy disciplines Require intensive rehab therapy program consisting of 3 hours of therapy per day at least 5 days per week Require close supervision by a rehabilitation physician Expected to actively participate in and benefit from the program Require an intensive and coordinated interdisciplinary team approach to the delivery of care

Appropriate patients:

Stroke Brain injury/spinal cord injury Neurological/neuromuscular disorder Multiple trauma Amputation Complex joint replacement surgery Cardiac/Pulmonary Deconditioned patient

Call 860.972.0990 to make an admission. Appropriate patients will be reviewed by the case coordinator, therapy team, nurse liaison and physiatrist.

Need IT or EPIC Help?

If you need help with EPIC, the contact phone number is different from the number used for other information technology needs.

The Care Connect (EPIC) Help Desk can be reached at 860.972.EPIC or 2­EPIC (860.972.3742).

The IT Service Desk can be reached at 860.545.5699.

Back to Top In the News Media coverage, headlines and trends

Healthcare Trends

Advisory council stunned to learn about parallel health information exchange efforts

Members of the council charged with creating a health information exchange for Connecticut seemed stunned Thursday as they realized the state Department of Social Services is continuing to create its own products for exchanging this information.

State getting nearly $17 million to fight opioid crisis

Connecticut is getting nearly $17 million in federal grant money to help combat the state’s opioid crisis. The money will not only help increase access to medication­ assisted treatment for opioid use disorder, it will also allow multiple community health centers in the state to expand their services.

U.S. Regulators OK Cigna's $67 Billion Acquisition Of Express Scripts

The U.S. Department of Justice has approved the $67 billion purchase of Express Scripts Holding Co. by Cigna Corp., the two companies announced Monday, allowing the combination of a major health insurer and pharmacy benefit manager.

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Stay Connected

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Seymour Street Journal (SSJ) supports physician engagement at Hartford Hospital by providing critical information, news and recognition in an easily digestible format. The SSJ will be sent to your preferred e­mail address the last Sunday of each month.

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For any questions or suggestions, please contact editor Matthew Clyburn at [email protected] or 860.500.0464.

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